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【例1】男,61岁,农民。因误服敌敌畏100ml后30min,于1990年6月7日来院。患者昏迷,面色灰白,唇紫绀,口吐白沫,呼吸表浅,皮肤潮湿,肌束震颤,四肢凉。血压10/6kPa。双瞳孔直径约1mm。两肺布满湿啰音。按重度有机磷中毒住内科抢救。使用“复能剂”与阿托品等药物,2h后达到临床“阿托品化”。因病情反复,维持使用阿托品共7d,总量达510mg。患者于入院36h后清醒,即述头痛、眼痛、视物不清。临床医生认为系一般中毒后反应及阿托品散瞳作用。入院第5天,上述症状加重,仍未予注意,住院0d出院。5d后患者因头痛、眼痛、双眼视
[Example 1] Male, 61 years old, farmer. Due to mistreatment of dichlorvos after 100ml 30min, on June 7, 1990 to the hospital. Patients coma, pale gray, cyanotic lips, foaming at the mouth, breathing shallow, moist skin, fasciculations, cold limbs. Blood pressure 10 / 6kPa. Double pupil diameter of about 1mm. Two lungs filled with wet rales. Severe organophosphate poisoning rescued by internal medicine. Use of “energy agent” and atropine and other drugs, 2h after the clinical “atropine”. Due to repeated illness, maintaining the use of atropine a total of 7d, the total amount of 510mg. Patients awake 36h after admission, the headache, eye pain, blurred vision. Clinicians believe that the general reaction after poisoning and atropine mydriasis. Admitted to the first 5 days, the above symptoms increased, still not pay attention, hospital discharge 0d. 5d after the patient because of headaches, eye pain, binocular vision